Mapatunage Ananda Siriwardena, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

195470 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 624-6944

Fax

(315) 624-4767

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821056763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 STONEBRIDGE CT",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135513",
            "telephone_number": "315-732-4319",
            "fax_number": "315-732-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6944",
            "fax_number": "315-624-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIWARDENA",
        "first_name": "MAPATUNAGE",
        "middle_name": "ANANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "195470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan M Simpson, PT
• Chanderdeep Singh, MD
• Iqbaljit Singh, DPM
• Sukhpal Singh, DO
• Mary Teresa Siniscarco, MS, OTR/L
• Kylie Sisson, RN
• Courtney Sisti
• Lisa Sitterly, NP
• Katelyn Skiechs
• Bradley Sklar, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Utica, NY
• Providers in Utica, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.